SHAWN THOMAS LIECHTY MD
NPI 1366974420
Surgery in Rhinebeck, NY
About Shawn Thomas Liechty Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN THOMAS LIECHTY MD (NPI 1366974420) is an individual surgery provider in Rhinebeck, New York, licensed in New York (332242) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shawn Thomas Liechty Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Shawn Liechty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingston, NY 12401
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Nuvance Health Medical Practice PC
- 638 clinicians in this Medicare group
Troy, NC 27371
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vassar Brothers Medical Center
Acute Care Hospitals · Poughkeepsie, NYNorthern Dutchess Hospital
Acute Care Hospitals · Rhinebeck, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12572 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RHINEBECK, NY 12572
RHINEBECK, NY 12572
RHINEBECK, NY 12572
RHINEBECK, NY 12572
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shawn Liechty's NPI number?
The NPI number for Shawn Liechty is 1366974420. It was assigned to this individual provider in the NPPES registry on March 29, 2017.
Where is Shawn Liechty located?
Shawn Liechty practices at 6511 Spring Brook Ave, Rhinebeck, NY 12572. The listed phone number is (845) 871-4275.
What is Shawn Liechty's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Shawn Liechty enrolled in Medicare?
Yes. Shawn Liechty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shawn Liechty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Liechty reassigns Medicare benefits to 3 organizations: Health Quest Medical Practice, PC (Kingston, NY), Carolinas Physicians Network Inc (Troy, NC) and Carolinas Medical Center (Concord, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Liechty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shawn Liechty affiliated with any hospitals?
According to CMS data, Shawn Liechty is affiliated with Vassar Brothers Medical Center and Northern Dutchess Hospital.
When was this NPI record last updated?
The NPPES record for Shawn Liechty was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shawn Thomas Liechty, MD · NPI 1366974420
Surgery physician in Rhinebeck, New York. Individual provider, active in the CMS NPPES registry since March 29, 2017.
## Identity
- **NPI:** 1366974420 (Entity type: Individual)
- **Enumerated:** March 29, 2017
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 332242 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6511 SPRING BROOK AVE, Rhinebeck, NY 12572-3709
- **Phone:** (845) 871-4275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Health Quest Medical Practice, PC (NPI 1558906610, Kingston, NY); Carolinas Physicians Network Inc (NPI 1548664303, Troy, NC); Carolinas Medical Center (NPI 1467790055, Concord, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366974420) · Data from the CMS NPPES public registry.